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However, CM was considered, at the discretion of the surgeon, to prevent massive bleeding or bile duct injury.
Massive flooding of bile into hepatocytes might bump their respiration system heavily enough to lead to irreversible cell death.
The result was a gold medal-winning selfie: a massive grin from Biles and a full-strength pout from Kardashian.
Because endoscopic drainage was not available at night, a CT scan was followed by percutaneous cholangiography that permitted a temporary drainage; aspiration of pus was sent to the laboratory and confirmed a typical massive "empierrement" of the common bile duct.
The CT findings in our case showed well-enhanced massive papillary contents in the dilated bile ducts with extravasation.
Bile, per se, triggers a massive inflammatory response within the peritoneum, involving polymorphonuclear and mesothelial cells [ 29].
Three cases of massive bleeding (>1000 mL) and 6 cases of bile duct injury were observed in the SC group.
In some cases (e.g., massive bleeding from the liver bed or identification of bile duct injury after intraoperative cholangiography), OC was used to repair the damage.
While sexual reproduction takes place in the mature adults of O. viverrini within the bile ducts, asexual reproduction in the snail leads to a massive increase in the number of infectious cercarial stages exiting and swimming off to locate then infect the fish host.
Serious adverse events in the SR group were as follows: bile leakage (2 patients); refractory ascites (2 patients); acute respiratory distress syndrome (ARDS) (1 patient); and massive gastrointestinal bleeding (1 patient).
Why so much bile?
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com